Financial autonomy of facilities providing primary care services in low- and middle-income countries: assessing the evidence to inform the development of a typology and conceptual framework
Sophie Witter, Maria Paola Bertone, Lucas Sempé, Quentin Baglione, Hélène Barroy, Justine Hsu, Inke Mathauer · 2025
Read Financial autonomy of facilities providing primary care services in low- and middle-income countries: assessing the evidence to inform the development of a typology and conceptual framework by Sophie Witter, Maria Paola Bertone, Lucas Sempé, Quentin Baglione, Hélène Barroy, Justine Hsu, Inke Mathauer (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12822310.txt.
Description
Sophie Witter and colleagues assessed in 2025 what is known about money control at primary care clinics in poorer countries. Governments increasingly give clinics more say over their own funds, assuming it improves performance. Yet what that freedom covers, who holds it, and what it is for are rarely examined closely at the primary care level.
Evidence came from a scoping review of ninety-one documents, twelve expert interviews, and discussion with finance specialists at a global meeting. The authors build a typology and a conceptual framework from that material. Their conclusion is careful: financial autonomy can help when it fits local conditions and comes with clear accountability, purchasing rules, and public finance support.
Catalog record
| CREATOR | Sophie Witter, Maria Paola Bertone, Lucas Sempé, Quentin Baglione, Hélène Barroy, Justine Hsu, Inke Mathauer |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 70 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |